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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> FIHh[ COPY, <br /> PLEASE DESTROY <br />ALL. PREVIOUS RECORDS <br /> <br />1. The septic system must be installed as shown above and must be inspected prior to cover. <br />2. All disposal trenches shall be installed so as to follow the natural contour of the ground. <br />3. If there are questions concerning the layout of the system, please call our office prior to construction of the system. <br /> <br />Name: ~¢¢~/~/~ 4 _~,~'/~/~/~ ~')~--~) , J SYSTEM SPECIFICATIONS: <br />Address: 7~ ~~-~ ~~//~TypeofSystem: <br />Legal D~s~ription: ' R ~ ~ / '" Septic Tank CapacitY: /~ gal min. <br /> TaxLotNo. ~~2~~ /Lineal Feet Dispo,al Field: <br />System Will Se~e: ~, ,~ .' ~Distribution: ~ ¢ ¢ ~ . <br />Projected Sewage Flow: . ' ~ ~ gal/day Disposal Trench Depth: ~ ~ <br />Water Supply: ~// _ ~ Filter Materiel Depth: /~ <br />Issuance Date: '~/¢/~ ~ . Minimum Soil Backfill: / ~ <br />Expiration Date: ' ' ~/¢/~ ~ <br /> <br />(Request for renewal of this permit must be made Drier to the <br />expiration date.) <br />IMPORTANT: Keep this document with your records. Show this <br />permit to the septic system installer prior to instaitation of the <br />system. Any deviation from t~e approved ptan mus~t have prior <br />approval from t~j~ offic,¢) <br /> <br />Curtain Drain: ( )Yes;__ (,,~) No <br />Sp(~cieI. R,equire. mer)ts: /1~,,~,~.,)..4.- <~-,~p~*'*¢~ <br /> <br /> Site Number: ~ ~ - ~ ¢I ~. <br /> Permit Number: ~o~ <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br />REV, 11/92 <br /> <br /> <br />